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State Program: Nebraska
Capacity Building
The Nebraska Health and Human Services System began receiving funds
from CDC in 2000 to support a state heart disease and stroke prevention
program. It also received CDC funding to implement a demonstration
public health project that improves quality of care through the
implementation of an Electronic Health Information System (EHIS) in
Certified Rural Health Clinics (CRHC) in Nebraska.
Burden of Heart Disease and Stroke
- Heart disease is the leading cause of
death in Nebraska, accounting for 4,242 deaths or approximately 27% of the
state's deaths in 2002. (National Vital Statistics Report 2004;53(5)).
- Stroke is the third leading cause of
death, accounting for 1,103 deaths or approximately 7% of the state's
deaths in 2002. (National Vital Statistics Report 2004;53(5)).
- According to Behavioral Risk Factor
Surveillance System (BRFSS) survey results, adults in Nebraska
reported having the following risk factors for heart disease and stroke:
In 2005,
- 24.5% had high blood pressure
- 35.2% of those screened reported having high blood cholesterol
In 2006,
- 7.4% had diabetes
- 18.7% were current smokers
- 63.9% were overweight or obese (Body
Mass Index greater than or equal to 25.0)
- 21.0% reported no exercise in the prior 30 days
Key Responsibilities
- Facilitate collaboration among public and private sector
partners, such as managed care organizations, health
insurers, federally funded health centers, businesses,
priority population organizations, and emergency response
agencies.
- Define the burden of heart disease and stroke and assess
existing population-based strategies for primary and
secondary prevention of heart disease and stroke within the
state.
- Develop and update a comprehensive state plan for heart
disease and stroke prevention with emphasis on heart-healthy
policies development, physical and social environments
change, and disparities elimination (e.g., based on
geography, gender, race or ethnicity, or socioeconomic
status).
- Identify culturally appropriate approaches to promote
heart disease and stroke prevention among racial, ethnic,
and other priority populations.
- Use population-based public health strategies to
increase public awareness of the heart disease and stroke
urgency, the signs and symptoms of heart disease and stroke,
and the need to call 9–1–1.
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State Highlights
- The Nebraska Cardiovascular Health Program, in collaboration with
various state partners, created the The Nebraska Stroke Advisory
Council. The council is a coalition of stroke experts in the state who
collaborate to recommend and implement key strategies to reduce the
burden of stroke in Nebraska. The coalition consists of 29 members from
across the state including 5 physicians. This council is in the process
of forming subcommittees to address the different issues related to
stroke care in Nebraska.
- The Nebraska Cardiovascular Health Collaborative is currently in the
development phase by the program and has not yet had its inaugural
meeting. The Collaborative’s function will be to guide, promote and
participate in the Nebraska Heart Disease and Stroke State Plan and
future revision/planning processes, and to champion a Nebraska Heart
Disease and Stroke 2007-2012 State Plan.
- The program launched their Strike Out Stroke campaign in 2003. This
campaign focuses on raising the public’s awareness and increasing their
knowledge about the warning signs of stroke and the importance of
calling 9–1–1. This campaign is statewide with semi-professional
baseball teams as well as local youth and adult league teams
participating in the campaign.
- Statewide Stroke Assessment was conducted by the program in
conjunction with the University of Nebraska Medical Center within the
acute stroke care setting. Information was collected about EMS,
healthcare facilities, acute protocols and procedures, and the
relationships of healthcare facilities with rehabilitation and
education.
- Worksite heart disease and stroke educational campaigns were
conducted by the program with WelCOM, Well Workplace Nebraska, and
WorkWell, Nebraska’s three worksite wellness organizations. Each site
secured two speakers, one for heart disease and one for stroke, to speak
to their worksite wellness delegates. Presentations focused on the signs
and symptoms and heart attack and stroke as well as risk factor
management and control. Each site also provided the worksite wellness
delegates the American Heart Association’s Stroke: Patient Education
Toolkit to be used in their worksite.
- The Nebraska Registry Partnership (NRP) is a collaboration between
the Nebraska Cardiovascular Health Program, CIMRO of Nebraska, Nebraska
Office of Rural Health, and the Nebraska Diabetes Prevention and Control
Program. The NRP provides funding on a tiered basis over the course of
three years to certified rural health clinics to establish a diabetes
and cardiovascular disease (CVD) patient registry system.
- The program hosts the Nebraska Heart Disease and Stroke Prevention
Conference every 18 months. The conference rotates between eastern and
western Nebraska. The one day multi-dimensional conference addresses
topics important to all who administer services, treatment, education,
and support for cardiovascular diseases.
- The program, in collaboration with various partners, released the
Nebraska Heart Disease and Stroke State Plan in August 2007. The plan
will provide guidance for the program and partners on future heart
disease, stroke, and related risk factor initiatives and projects.
For more information on heart disease and
stroke prevention in the state, visit the Nebraska Cardiovascular Health
Program Web site at
http://www.hhs.state.ne.us/cvh/.*
To view county–level data, visit our
interactive map site at
http://www.cdc.gov/dhdsp/library/maps/statemaps.htm.
*Links to non–Federal organizations are provided solely as a service to our users. Links do not constitute an endorsement of any organization by CDC or the Federal Government, and none should be inferred. The CDC is not responsible for the content of the individual organization Web pages found at this link.
Page last reviewed: August
30, 2007
Page last modified: August 30, 2007
Content source: Division for Heart Disease and Stroke
Prevention,
National Center for Chronic Disease Prevention and
Health Promotion
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